| Doctor Name: | CRAIG ALLEN STULL |
| NPI Number: | 1588978928 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ATC |
| License Number: | 36001288A |
| Business Practice Address: | 8227 Northwest Blvd Ste 160 Indianapolis, IN - 462781386 |
| Business Phone Number: | 3174155747 |
| Business Fax Number: | |
| Mailing Address: | 8227 Northwest Blvd Suite 160, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 46278 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | 36001288A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |